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General NPI Number Information
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NPI Number | 1699700377
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Entity Type | Individual
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Provider Name | TADD LEIGH SELBY M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1166 ESPLANADE SUITE 3
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City | CHICO
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State | CA
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Zip | 95926-3327
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Country | US
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Telephone | 530-893-0771
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Fax | 530-893-1939
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Provider Business Mailing Address
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Address Line | 1166 ESPLANADE STE 3
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City | CHICO
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State | CA
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Zip | 95926-3361
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Country | US
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Telephone | 530-893-0771
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Fax | 530-893-1939
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | G79258
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License Number State | CA
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